Immigrant Child Health Through the Eyes of Orthopedics:  Is There a Difference Between Local Children

Özlem Orhan; Ahmet Yiğit Kaptan; Baki Volkan Çetin; Mehmet Akif Altay

Makale detayları

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Yazarlar:

Özlem Orhan | Ahmet Yiğit Kaptan | Baki Volkan Çetin | Mehmet Akif Altay

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.155-162

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285197

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: The number of immigrant children admitted to public sector healthcare facilities is increasing. However, comparatively few studies investigated its effects on health systems, especially in the orthopedics discipline. This research investigates if there is a significant difference in admission to orthopedics and traumatology outpatient clinics OT between immigrants and local children. Materials and Methods: Immigrant IP and local patients LP under 18 admitted to the OT of a tertiary hospital between 2019-2021 were included in this retrospective study. Demographic data of patients, number of admission in a year, place of admission, the reason for admission, treatment method, radiological imaging, and diagnoses soft tissue trauma STT, developmental hip dysplasia DDH, etc. were evaluated for both groups. Results: 1009 patients were included n481 LP, n528 IP. The number of admissions was higher in IP between 1 and 2 years p0.02. The consultations of IP from the emergency department and other departments were statistically higher than those of LP p0.001. Fracturecomplications and STT are the most common diagnoses in local and immigrant groups. The third most common diagnosis was DDH in LP and general examination in IP. Examinations with MRI and no radiological imaging were more frequent in IP than in LP. Conclusions: It is noteworthy that the number of admissions to OT and consultations from other services is higher in IP than the LP. Increasing physicians awareness of cultural differences and expectations and providing health education to immigrant families through professional translators in their preferred language can diminish the load on healthcare.

 Background: The number of immigrant children admitted to public sector healthcare facilities is increasing. However, comparatively few studies investigated its effects on health systems, especially in the orthopedics discipline. This research investigates if there is a significant difference in admission to orthopedics and traumatology outpatient clinics OT between immigrants and local children. Materials and Methods: Immigrant IP and local patients LP under 18 admitted to the OT of a tertiary hospital between 2019-2021 were included in this retrospective study. Demographic data of patients, number of admission in a year, place of admission, the reason for admission, treatment method, radiological imaging, and diagnoses soft tissue trauma STT, developmental hip dysplasia DDH, etc. were evaluated for both groups. Results: 1009 patients were included n481 LP, n528 IP. The number of admissions was higher in IP between 1 and 2 years p0.02. The consultations of IP from the emergency department and other departments were statistically higher than those of LP p0.001. Fracturecomplications and STT are the most common diagnoses in local and immigrant groups. The third most common diagnosis was DDH in LP and general examination in IP. Examinations with MRI and no radiological imaging were more frequent in IP than in LP. Conclusions: It is noteworthy that the number of admissions to OT and consultations from other services is higher in IP than the LP. Increasing physicians awareness of cultural differences and expectations and providing health education to immigrant families through professional translators in their preferred language can diminish the load on healthcare.

 Background: The number of immigrant children admitted to public sector healthcare facilities is increasing. However, comparatively few studies investigated its effects on health systems, especially in the orthopedics discipline. This research investigates if there is a significant difference in admission to orthopedics and traumatology outpatient clinics OT between immigrants and local children. Materials and Methods: Immigrant IP and local patients LP under 18 admitted to the OT of a tertiary hospital between 2019-2021 were included in this retrospective study. Demographic data of patients, number of admission in a year, place of admission, the reason for admission, treatment method, radiological imaging, and diagnoses soft tissue trauma STT, developmental hip dysplasia DDH, etc. were evaluated for both groups. Results: 1009 patients were included n481 LP, n528 IP. The number of admissions was higher in IP between 1 and 2 years p0.02. The consultations of IP from the emergency department and other departments were statistically higher than those of LP p0.001. Fracturecomplications and STT are the most common diagnoses in local and immigrant groups. The third most common diagnosis was DDH in LP and general examination in IP. Examinations with MRI and no radiological imaging were more frequent in IP than in LP. Conclusions: It is noteworthy that the number of admissions to OT and consultations from other services is higher in IP than the LP. Increasing physicians awareness of cultural differences and expectations and providing health education to immigrant families through professional translators in their preferred language can diminish the load on healthcare.

 Amaç: Kamu sektörü sağlık kuruluşlarına başvuran göçmen çocukların sayısı artmaktadır. Bununla birlikte, özellikle ortopedi disiplininde nispeten az sayıda çalışma sağlık sistemleri üzerindeki etkilerini araştırmıştır. Bu araştırma, göçmenler ve yerel çocuklar arasında ortopedi ve travmatoloji polikliniklerine OT kabulde anlamlı bir fark olup olmadığını araştırmaktadır. Materyal ve metod: Retrospektif bu çalışmaya, 2019-2021 yılları arasında üçüncü basamak bir hastanenin OTsine başvuran 18 yaşın altındaki göçmen ve yerel hastalar dahil edildi. Hastaların demografik verileri, bir yıl içindeki başvuru sayısı, başvuru yeri, başvuru nedeni, tedavi yöntemi, radyolojik görüntüleme ve tanıları yumuşak doku travması YDT, gelişimsel kalça displazisi GKD vb. her iki grup için değerlendirildi. Bulgular: Çalışmaya 481 göçmen ve 528 yerel çocuk olmak üzere 1009 hasta dahil edildi. Başvuru sayısı göçmen çocuklarda 1-2 yaş arasında daha yüksekti p0,02. Göçmen çocukların acil servis ve diğer bölümlerden konsültasyonları yerel çocuklardan istatistiksel olarak daha yüksekti p0,001. Kırıkkomplikasyonlar ve YDT yerel ve göçmen gruplarda en sık görülen tanılardır. Üçüncü en sık tanı yerel çocuklarda GKD ve göçmen çocuklarda genel muayene idi. MRG ve radyolojik görüntüleme istenmeyen incelemeler göçmen çocuklarda daha sıktı. Sonuç: OTye kabul ve diğer hizmetlerden konsültasyon sayısının göçmen çocuklarda daha yüksek olması dikkat çekicidir. Hekimlerin kültürel farklılıklar ve beklentiler konusundaki farkındalığını artırmak ve göçmen ailelere tercih ettikleri dilde profesyonel tercümanlar aracılığıyla sağlık eğitimi vermek sağlık üzerindeki bu yükü azaltabilir.

Makale detayları

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Yazarlar:

Özlem Orhan | Ahmet Yiğit Kaptan | Baki Volkan Çetin | Mehmet Akif Altay

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.155-162

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285197

pISSN:

1304-9623

Children

health

immigrant

orthopedic and traumatology

refugees

Çocuk

sağlık

göçmen

ortopedi ve travmatoloji

mülteci

Sayı

Makale detayları

Yazarlar: Özlem Orhan | Ahmet Yiğit Kaptan | Baki Volkan Çetin | Mehmet Akif Altay

Yayıncı: Harran University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.155-162

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001285197

pISSN: 1304-9623

Sayı

Yazarlar:

Özlem Orhan | Ahmet Yiğit Kaptan | Baki Volkan Çetin | Mehmet Akif Altay

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.155-162

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285197

pISSN:

1304-9623